MISS KELLY K LONG PA-C
NPI 1891933495
Physician Assistant - Medical in Boston, MA

Active since February 04, 2009PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(781) 640-1542 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Kelly K Long Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KELLY K LONG PA-C (NPI 1891933495) is an individual medical provider in Boston, Massachusetts, licensed in Massachusetts (PA3727) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1891933495
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMISS KELLY K LONGCredential: PA-C
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address76 Chilton StCambridge, MA 02138-6802 · (781) 640-1542
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 4, 2009
Last NPPES UpdateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
NPI 1891933495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MA · PA3727
75 FRANCIS ST, Boston, MA 02115

Other Names 1

Former Name (1)Kelly Devine

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miss Kelly K Long Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931256674
PECOS Enrollment IDI20090415000098
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Long's NPI number?

The NPI number for Kelly Long is 1891933495. It was assigned to this individual provider in the NPPES registry on February 4, 2009. The provider is also known as Kelly Devine.

Where is Kelly Long located?

Kelly Long practices at 75 Francis St, Boston, MA 02115. The listed phone number is (781) 640-1542.

What is Kelly Long's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Long enrolled in Medicare?

Yes. Kelly Long is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kelly Long affiliated with any hospitals?

According to CMS data, Kelly Long is affiliated with Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Kelly Long was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.